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Genetic Test For A Specific Gene Change

Utah rates for HCPCS 81404

This is a laboratory test that analyzes a particular gene to look for a specific genetic change linked to an inherited condition or a disease risk. Which gene is examined depends on the medical reason the test was ordered, such as a family history of a certain condition or a diagnosis that needs genetic confirmation. The analysis involves techniques of moderate technical complexity compared with simpler single-variant genetic checks.

Rates data updated July 2026.

How much does Genetic Test For A Specific Gene Change cost?

$234

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $316 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$174 to $240
FacilityA hospital or hospital-owned outpatient department$316$174 to $550

How much rates vary

Facilitymedian $316 · 10th to 90th $174 to $550Professionalmedian $174 · 10th to 90th $126 to $302
$200$500$1Kfacility $316professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$588.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$316.23
Typical High
$1,122.02
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$309.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$275.42

Where Utah sits

The same service costs 3.5 times more in Alaska than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 37th of 51

$234

AK $617RI $174

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.